Exertional Symptoms of Angina
Angina is a condition that signifies blockage in the vessels that supply the heart with oxygen-rich blood. When vessels narrow, due to plaque buildup or spasms, patients may experience angina symptoms or even a heart attack. Exertional angina means that the symptoms are brought on by exertion, or stress.
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Pain Associated with Exertional Angina
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Different people experience different symptoms related to angina. Typically, the person may complain of mid or substernal chest discomfort that is described as pressure, fullness, tightness or heaviness. The discomfort may radiate into the jaw, arms or back.
Additional Symptoms of Exertional Angina
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Nausea, lightheadedness, diaphoresis (or breaking out in a sweat) and shortness of breath are additional symptoms that can accompany the pain of angina.
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Relief of Symptoms of Exertional Angina
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Symptoms of exertional angina usually subside in a few minutes with rest or medication. If angina continues after more than five minutes of rest, the patient may be unstable and need medical attention.
Diagnosing Exertional Angina
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It is very important to make sure that all angina symptoms are monitored closely by a cardiologist. Exertional angina, while usually not life threatening, can become unstable and even lead to a heart attack. A history and physical, stress test, cardiac CT scan and cardiac catheterization all are diagnostic tools to help diagnose angina.
Treatments for Angina
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Many times, exertional angina can be treated symptomatically with medication, such as nitroglycerin, to help dilate the blood vessels that are constricted. Treatments may include dilation of the heart vessel (angioplasty), stent placement or even coronary artery bypass surgery. If warranted, lifestyle changes are encouraged to prevent further blockage or complications.
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